Individual
KAREN STEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
65 KANE ST, CHILD & ADOLECENCE PSYCHIATRY, WEST HARTFORD, CT 06119-2110
(860) 523-3745
(860) 523-3736
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002015
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4158904
—
CT
01
—
D400011664
MEDICARE PTAN FOR JDH
CT
01
—
D400011665
MEDICARE PTAN FOR UMG
CT
Enumeration date
07/13/2005
Last updated
09/28/2022
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